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General NPI Number Information
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NPI Number | 1598942971
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Entity Type | Organization
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Legal Business Name | ELIZABETH HART, M.P.T. & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 1618 ORRINGTON AVE STE 322
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City | EVANSTON
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State | IL
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Zip | 60201-5060
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Country | US
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Telephone | 847-425-1800
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Fax | 847-425-1818
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Provider Business Mailing Address
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Address Line | 1618 ORRINGTON AVE STE 322
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City | EVANSTON
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State | IL
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Zip | 60201-5060
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Country | US
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Telephone | 847-425-1800
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Fax | 847-425-1818
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ELIZABETH ANN HART
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Credential | M.P.T.
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Telephone | 847-425-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | IL
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